Kelly Weaver, MD

NPI #1457506693 in Canastota, New York

Provider Information

NPI Number: 1457506693
Entity Type: Individual
Name: Kelly Weaver, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 1, 2008
Last Updated: Sep 16, 2021

Practice Location

Address: 7137 MT PLEASANT RD
City: Canastota
State: New York
ZIP Code: 13032-5024
Phone: (315) 697-2033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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